Individual
MRS. SUSAN R MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
309 HWY 59 S. LOOP, LIVINGSTON, TX 77351
(281) 659-2355
(281) 592-1570
Mailing address
108 S. WILLIAM BARNETT AVE, CLEVELAND, TX 77327
(281) 659-2355
(281) 592-1570
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00280
TX
Other
Enumeration date
07/27/2006
Last updated
02/22/2016
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